Author Question: A client with type 2 diabetes mellitus is starting glipizide (Glucotrol) and metformin (Glucophage). ... (Read 64 times)

littleanan

  • Hero Member
  • *****
  • Posts: 575
A client with type 2 diabetes mellitus is starting glipizide (Glucotrol) and metformin (Glucophage). Prior to giving the medication to the client, the nurse should assess for:
 
  1. history of cardiac disease.
  2. allergy to sulfonamides.
  3. history of renal failure.
  4. lesions on the lower limbs.

Question 2

A client with diabetes is in the office for a routine diabetic check. The nurse performs a glucose finger stick, which is 95, but notices that the client has a foot wound that is not healed.
 
  The nurse suspects that the client's blood sugar has been high, and plans to review the results of a:
 
  1. CBC.
  2. Fasting blood sugar.
  3. hemoglobin A1c.
  4. glucose tolerance test.



tofugiraffe

  • Sr. Member
  • ****
  • Posts: 319
Answer to Question 1

Answer: 2

1. Since diabetes mellitus predisposes the client to cardiac issues due to high blood sugar and cholesterol, Glucotrol will decrease the risk. Glucotrol does not cause cardiac issues.
2. Glucotrol is a sulfonylurea and cannot be taken if the client has an allergy to sulfonamides.
3. A client with diabetes mellitus of any type is at risk for renal failure, and by controlling blood sugar, will help control the risk of renal failure.
4. Lesions on the lower limbs that do not heal are due to high blood sugar, which Glucotrol will help control.

Answer to Question 2

Answer: 3

1. The CBC will not give information about the client's glucose level.
2. A fasting blood sugar is one test that can diagnose diabetes mellitus.
3. The hemoglobin A1c gives the average blood sugar over about 3 months. Sometimes clients will make sure the blood sugar is low for a visit to the doctor, not realizing that the A1C gives the nurse and physician an idea of the client's average blood sugar and would also explain the inability of the wound to heal if the A1c were high.
4. If a client's fasting blood sugar were high, the doctor might order a glucose tolerance test to confirm the diagnosis.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

For a complete list of videos, visit our video library